| NPI | 1801897962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RANDALL KOWALSKI President/CEO 313-271-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5306003404) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MI 530101428) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2014-05-15 |